Adams H, Jones A, Hayward C
Department of Radiology, University Hospital of Wales, Heath Park, Cardiff.
Clin Radiol. 1988 Jul;39(4):398-401. doi: 10.1016/s0009-9260(88)80281-2.
Pleural fluid was detected by ultrasound in three fetuses as an anechoic area surrounding the echogenic fetal lung. In one fetus the underlying lung was small, immobile and of abnormal contour; death occurred in the neonatal period and the lung was found to be hypoplastic. In two other fetuses the lungs appeared sonographically normal, being mobile with normal contours. Both survived, one following spontaneous intra-uterine resolution of the effusion and the other after early neonatal intervention prompted by the antenatal diagnosis. Sonography can detect pleural fluid in utero and may permit differentiation between normal underlying lung and pulmonary hypoplasia. We recommend serial scanning to detect early adverse effects of pleural effusion upon the fetus and to plan management changes.
通过超声在三个胎儿中检测到胸腔积液，表现为围绕胎儿肺回声的无回声区。在一个胎儿中，其下方的肺较小、活动度差且轮廓异常；该胎儿在新生儿期死亡，尸检发现肺发育不全。在另外两个胎儿中，超声检查显示肺外观正常，活动度及轮廓正常。两个胎儿均存活，一个胎儿胸腔积液在宫内自然消退，另一个胎儿在产前诊断后于新生儿早期接受了干预。超声检查可在子宫内检测到胸腔积液，并可能有助于鉴别正常的肺与肺发育不全。我们建议进行系列扫描，以检测胸腔积液对胎儿的早期不良影响，并据此调整治疗方案。
